Intracranial haemorrhage in late-onset neonatal group B streptococcal disease: A case report.

Autor:	Fallata EM; Paediatric Department, East Jeddah Hospital, Jeddah, KSA., Bokhary NA; Paediatric Infectious Disease and Infection Control, Pediatric Department, East Jeddah Hospital, KSA., Bugshan AS; Paediatric Department, East Jeddah Hospital, Jeddah, KSA., Hakami MH; Paediatric Department, East Jeddah Hospital, Jeddah, KSA.
Jazyk:	angličtina
Zdroj:	Journal of Taibah University Medical Sciences [J Taibah Univ Med Sci] 2021 Apr 24; Vol. 16 (5), pp. 771-775. Date of Electronic Publication: 2021 Apr 24 (Print Publication: 2021).
DOI:	10.1016/j.jtumed.2021.04.001
Abstrakt:	This report aims to alert clinicians to the possibility of intracerebral haemorrhage as a rare manifestation of late-onset neonatal group B streptococcal (LOGBS) disease. This case also highlights the need for effective treatment guidelines for LOGBS disease. We report a case of LOGBS disease in a 17-day-old full-term female neonate, complicated by bilateral subarachnoid haemorrhage confirmed on magnetic resonance imaging (MRI). The patient presented with fever, lethargy, and convulsions. Microbiological examination confirmed the presence of Streptococcus agalactiae in the blood culture. Brain MRI showed bilateral subarachnoid haemorrhage and diffuse cerebral ischaemia, suggesting a severe complication of LOGBS disease. Short-term follow-up of the patient showed marked developmental delay. Early screening for group B streptococcus infection in pregnant women is essential to prevent severe cases of LOGBS disease. Very few cases of intracerebral haemorrhage in LOGBS disease have been reported. Further evidence is required to support a pertinent link between LOGBS disease and intracerebral haemorrhage. (© 2021 The Authors.)
Databáze:	MEDLINE
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